Secondary Instruction (Grades 6-12) - Family Commitment Survey

1.Student's First and Last Name:

2.Parent/Guardian's First and Last Name:

3.Student's School:

San Lorenzo Valley Middle School

SLV Charter Middle School (QHIA, Nature Academy, Coast Redwood Middle)

San Lorenzo Valley High School

SLV Charter Coast Redwood High School

5.What is the best daytime contact phone number for Parent/Guardian?

6.Does your student have an IEP (Individualized Education Program)?

Yes

7.Please Finish This Statement: If my student's school returns to on-campus instruction...

I want my student to return to the school campus, and I understand the following:
- The in-person schedule will allow students to come to campus to attend classes in-person on a part time basis.
- Students and staff will be required to wear masks.
- On the days or times my student is not attending in-person classes, my student will need to participate and/or complete work online.
- To accommodate in-person and Distance Learning choices, my student may have a different teacher or a change of schedule.

I want my student to remain on 100% Distance Learning, and I understand the following:
- The current Distance Learning schedule may change in order to accommodate in-person instruction and online programs.
- Students will remain in Distance Learning for the remainder of this school year.
- To accommodate in-person and distance learning choices, my student may have a different teacher(s) or schedule.

8.How can the District support your student with returning to on-campus programs?

9.How can the District support your student in online programs?

10.Please provide us with additional information you would like us to know.

Current Progress,

0 of 10 answered